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Would you do active surveillance or completion thyroidectomy in a patient with 1.6 cm tall cell PTC with posterior margin’s indeterminate and 7 mm isoechoic solid nodule on other side?
Patient is a 41F and overall good surgical risk candidate.
Answer from: at Academic Institution
May qualify for monitoring with full disclosure to the patient (aggressive histology) and if the following histologic and clinical features are met.
Reassessing the path is recommended if the report is unclear.
No extrathyroidal spread or invasion
No angio-invasion
Clear surgical margins...
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